NPI | 1790174423 |
---|---|
Former Name | JENNIFER HARSH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1358) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2015-01-19 |
Last Update Date | 2019-10-03 |