| NPI | 1659680957 |
|---|---|
| Former Name | JENNIFER JEROME |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN LAMFT 2100) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2023-05-02 |