| NPI | 1154110468 |
|---|---|
| Former Name | JENNA MARIE SAPP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-25-5306) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 22-CRM-1559) |
| Enumeration Date | 2025-05-02 |
| Last Update Date | 2025-05-02 |