| NPI | 1780302109 |
|---|---|
| Former Name | JENNIFER ANNE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC018933) |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2025-08-04 |