| NPI | 1568180586 |
|---|---|
| Former Name | JENNIFER NICOLE OATES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2022-08-16 |
| Last Update Date | 2025-04-16 |