| NPI | 1942513007 |
|---|---|
| Former Name | JENA VINCENT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: DE 105113) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NH 818) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2021-03-31 |