| NPI | 1659838886 |
|---|---|
| Former Name | JESSICA JO FRENZEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3312) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 11613) |
| Enumeration Date | 2019-02-24 |
| Last Update Date | 2023-05-22 |