NPI | 1417598194 |
---|---|
Former Name | JENNIFER RANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: NC 15555) |
Additional Taxonomies | 101Y00000X Counselor |
101YP2500X Counselor, Professional (Licence: MI 6401010060) | |
Enumeration Date | 2019-10-03 |
Last Update Date | 2020-10-23 |