NPI | 1770883167 |
---|---|
Former Name | JENNIFER M ALBERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC3699) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60978127) |
101YM0800X Counselor, Mental Health (Licence: FL MH15513) | |
101YP2500X Counselor, Professional (Licence: ME XL3385) | |
Enumeration Date | 2010-11-01 |
Last Update Date | 2021-04-11 |