NPI | 1437661642 |
---|---|
Former Name | JENNIFER NICOLE HANNA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00870500) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2017-10-27 |
Last Update Date | 2023-01-18 |