NPI | 1437793544 |
---|---|
Former Name | JENNY LYNN LEIMANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.0800470-SUPV) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E0800470-supv) |
Enumeration Date | 2019-10-31 |
Last Update Date | 2024-11-14 |