| NPI | 1982110565 |
|---|---|
| Former Name | JENNIFER MARIE GALLAGHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701007402) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR P2108015) |
| 101YM0800X Counselor, Mental Health (Licence: MA 13443-MH-CC) | |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2023-06-22 |