| NPI | 1720606221 |
|---|---|
| Former Name | JENNIFER CACIOPPO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2020-07-10 |