NPI | 1982276465 |
---|---|
Former Name | JENNIFER M RHODES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2021024968) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2021024968) |
Enumeration Date | 2021-07-14 |
Last Update Date | 2023-09-06 |