| NPI | 1174912570 |
|---|---|
| Former Name | JENNY KLUCARICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1901516) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 6328-125) |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2020-02-19 |