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 |