| NPI | 1245983899 |
|---|---|
| Former Name | JENNIFER LYNN LAGOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180.014269) |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2023-12-28 |