| NPI | 1841426525 |
|---|---|
| Former Name | JENNIFER LEE CASEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 1446) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MS LPC) |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2020-09-28 |