| NPI | 1790293959 |
|---|---|
| Former Name | JENNIFER ANN MCKINNEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61172943) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60829447) |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2025-09-10 |