| NPI | 1437404605 |
|---|---|
| Former Name | JODIE BONNAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 002392) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2025-08-17 |