NPI | 1942421680 |
---|---|
Former Name | JENNIFER LOUISE STREIT-CONNELLY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00003460) |
Enumeration Date | 2007-05-01 |
Last Update Date | 2007-07-08 |