NPI | 1932617123 |
---|---|
Other Name | JENNIFER PITTMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AR P2012122) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
101YM0800X Counselor Mental Health (Licence: AR A1710312) | |
Enumeration Date | 2018-01-22 |
Last Update Date | 2021-01-22 |