| NPI | 1447692645 |
|---|---|
| Former Name | JENNIFER MARIE DECKER VAN SWEDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 2571) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: HI 349) |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2024-08-16 |