| NPI | 1912257395 |
|---|---|
| Former Name | JENNIFER BAKER PORTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 2175) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AL 2175) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2020-10-22 |