| NPI | 1962853176 |
|---|---|
| Former Name | JENNIFER MAUPIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 65173) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 65173) |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2019-09-20 |