| NPI | 1972835163 |
|---|---|
| Former Name | JENNIFER CALLOWAY DUSTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV 01198) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 01505) |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2016-07-19 |