| NPI | 1710303102 |
|---|---|
| Former Name | JENNIFER NIBEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 34075) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2023-03-17 |