| NPI | 1003316043 |
|---|---|
| Former Name | JENNY THOM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C6096) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C6096) |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2024-11-21 |