| NPI | 1578081170 |
|---|---|
| Former Name | JENNIFER ANN SAMAYOA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: KS 3169) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2021040835) |
| 101Y00000X Counselor (Licence: KS 2424) | |
| Enumeration Date | 2017-09-02 |
| Last Update Date | 2023-03-06 |