| NPI | 1760058572 |
|---|---|
| Former Name | JENNIFER DARGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MO 2020036387) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2013022746) |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2021-09-16 |