NPI | 1477885184 |
---|---|
Former Name | JENNIFER ERIN HOCUM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 1291) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MN CC1291) |
101YM0800X Counselor, Mental Health (Licence: MN CC1291) | |
Enumeration Date | 2010-02-04 |
Last Update Date | 2021-04-28 |