| NPI | 1811541600 |
|---|---|
| Former Name | JENNIFER LYNN SIMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NJ 37PC00704600) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NJ 37PC00704600) |
| 101YM0800X Counselor Mental Health (Licence: PA PC010450) | |
| 101YM0800X Counselor Mental Health (Licence: CA 12516) | |
| 101YP2500X Counselor Professional (Licence: CA 12516) | |
| 101YP2500X Counselor Professional (Licence: PA PC010450) | |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2024-05-31 |