NPI | 1558739755 |
---|---|
Former Name | JENNIFER S KOLLMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39005494A) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E1200662) |
Enumeration Date | 2015-09-04 |
Last Update Date | 2025-07-09 |