| NPI | 1932534641 |
|---|---|
| Former Name | JENNIFER LEA PAXSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C4637) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C4637) |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2017-10-04 |