| NPI | 1689378614 |
|---|---|
| Former Name | JENNIFER E ALLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701012320) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: VA 0701012320) |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2024-03-08 |