NPI | 1851813919 |
---|---|
Former Name | JENNIFER DANETTE SINGLETON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CTB-2023-0538) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM CMH0213591) |
Enumeration Date | 2017-07-11 |
Last Update Date | 2024-08-28 |