| NPI | 1114311602 |
|---|---|
| Former Name | JENNIFER THOMA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E.2203249) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NC 11426) |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2023-01-27 |