| NPI | 1841654753 |
|---|---|
| Former Name | JENNIFER LYNN LOKEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CP60954358) |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2022-09-09 |