| NPI | 1558498428 |
|---|---|
| Former Name | JENNIFER GOMOLL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C1929) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WA 60638897) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2021-12-20 |