| NPI | 1730514779 |
|---|---|
| Former Name | JENNIFER LEIGH TRAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 001698) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IA 001698) |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2025-08-19 |