| NPI | 1053883991 |
|---|---|
| Former Name | JENNA MARIE GENTZLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC010927) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC010927) |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2024-01-04 |