| NPI | 1457016297 |
|---|---|
| Former Name | JENNA MICHELE D'AMELIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NJ 37PC00853000) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2021-11-06 |
| Last Update Date | 2022-06-28 |