| NPI | 1720383235 |
|---|---|
| Former Name | JENNIFER DIANE HALES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IN 39003199A) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IN 39003199A) |
| 101YM0800X Counselor, Mental Health (Licence: IN 39003199A) | |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2025-11-20 |