NPI | 1730604737 |
---|---|
Former Name | JENNIFER KENT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60988689) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60704032) |
Enumeration Date | 2017-08-10 |
Last Update Date | 2021-04-06 |