| NPI | 1235345398 |
|---|---|
| Former Name | JODEE A GERRITSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 811) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3341) |
| 1041C0700X Social Worker, Clinical (Licence: NE 1267) | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2015-10-28 |