NPI | 1538404769 |
---|---|
Former Name | JENNA HEMENWAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: LA 9574) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
101YP2500X Counselor Professional | |
Enumeration Date | 2012-11-28 |
Last Update Date | 2024-05-06 |