NPI | 1164657722 |
---|---|
Former Name | JENNA MARIE TRAINOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 29145) |
Additional Taxonomies | 1041S0200X Social Worker, School (Licence: CA 29145) |
Enumeration Date | 2009-05-26 |
Last Update Date | 2012-03-12 |