| NPI | 1962593293 |
|---|---|
| Former Name | JENNIFER SUE TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA 60642442) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO 770) |
| 106H00000X Marriage & Family Therapist (Licence: UT 51363653902) | |
| 106H00000X Marriage & Family Therapist (Licence: ID 6229) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2017-12-06 |