| NPI | 1912306945 |
|---|---|
| Former Name | JENNIFER MULLINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 171W00000X Contractor (Licence: IL 227014011) |
| 225700000X Massage Therapist | |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2020-01-08 |