| NPI | 1396443503 |
|---|---|
| Former Name | JEN OR JENNY HARROM OR KILL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MN 3717) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MN 305853) |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2023-02-16 |