| NPI | 1033697768 |
|---|---|
| Former Name | JENELLE M'LOU BRAUN-MONEGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OR C6324) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: OR TSPC10501134) |
| 101Y00000X Counselor (Licence: OR C4926) | |
| 103TC1900X Psychologist, Counseling (Licence: OR C4926) | |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2022-03-15 |