| NPI | 1245521780 |
|---|---|
| Former Name | JENIFER CORINNE KOROTKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180008029) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.006913) |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2020-12-02 |