| NPI | 1770720088 |
|---|---|
| Former Name | JENNIFER L STREETS WOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 001200) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180007076) |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2021-02-22 |