NPI | 1255807210 |
---|---|
Professional Name | JENNIFER BROOKE SJOSTROM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-4347) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00007832) |
Enumeration Date | 2018-10-17 |
Last Update Date | 2018-10-17 |