| NPI | 1457872681 |
|---|---|
| Former Name | JENNYFER A BRUNS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 81937) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NH 1253) |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2023-05-29 |