| NPI | 1609205996 |
|---|---|
| Former Name | JENNIFER MARIE THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.009373) |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2016-03-28 |