| NPI | 1053782763 |
|---|---|
| Other Name | JENNIFER BAUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 6116) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2021-02-22 |