| NPI | 1558988956 |
|---|---|
| Other Name | JENNA ELLEN DASHOW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 305567) |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2020-07-01 |