NPI | 1932766839 |
---|---|
Former Name | JENNIFER GALE BRITT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 88134) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR R7329) |
101YP2500X Counselor, Professional (Licence: NC A17308) | |
225700000X Massage Therapist (Licence: OR 24685) | |
Enumeration Date | 2019-05-26 |
Last Update Date | 2022-07-01 |