| NPI | 1609362920 |
|---|---|
| Former Name | JENIFER WILLENZIK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC0012309) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2024-02-12 |