| NPI | 1760200497 |
|---|---|
| Former Name | JENNIFER LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 142465) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 142465) |
| Enumeration Date | 2024-10-01 |
| Last Update Date | 2024-10-01 |