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 |