| NPI | 1639547110 |
|---|---|
| Former Name | JENNA HART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12899) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT2936) |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2015-09-14 |