NPI | 1952781254 |
---|---|
Former Name | JENNAFER BROOKES CURTIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 7080-125) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2015-06-02 |
Last Update Date | 2024-04-10 |