NPI | 1427320506 |
---|---|
Former Name | JENNIFER LYNN SWEENEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 4218) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YP2500X Counselor, Professional | |
Enumeration Date | 2012-02-03 |
Last Update Date | 2024-07-25 |