| NPI | 1467163550 |
|---|---|
| Former Name | JENNIFER ANN LINN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 11026) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 7194-226) |
| Enumeration Date | 2022-12-08 |
| Last Update Date | 2024-07-10 |