| NPI | 1932820461 |
|---|---|
| Former Name | JENNIFER LYNN DUGGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2022-09-02 |
| Last Update Date | 2022-09-06 |