| NPI | 1861013484 |
|---|---|
| Former Name | JENNIFER MORLAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0000686) |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2020-05-05 |