| NPI | 1376101220 |
|---|---|
| Former Name | JENNIFER MARIE MATONEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC006830) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: PA PC006830) |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2019-06-04 |