| NPI | 1457471096 |
|---|---|
| Other Name | JUDY MATRATET HENNINGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 2988) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC-2988) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2015-10-23 |