| NPI | 1154589778 |
|---|---|
| Former Name | JENNIFER MARIE KOHL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 4526) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 4526) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2024-07-09 |