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 |