| NPI | 1770871055 |
|---|---|
| Former Name | JENNIFER NORA MALLOY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2021-02-26 |