| NPI | 1811282270 |
|---|---|
| Former Name | JENNIFER A DRISCOLL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2017-03-22 |