| NPI | 1134787120 |
|---|---|
| Former Name | JAYNE E EMMRICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 8193-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 4514-226) |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2021-04-29 |