NPI | 1699069864 |
---|---|
Former Name | JENNIFER SPANHEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MD LCM364) |
Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: MD LCM364) |
Enumeration Date | 2011-06-06 |
Last Update Date | 2011-06-06 |