NPI | 1629469200 |
---|---|
Former Name | JENNIFER ANN SCHEUCHENZUBER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY 9467) |
Additional Taxonomies | 101YS0200X Counselor School (Licence: FL SS1215) |
Enumeration Date | 2015-02-18 |
Last Update Date | 2017-11-22 |