NPI | 1669872818 |
---|---|
Former Name | JESSICA SCHEUNEMANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 5415-125) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 5415-125) |
Enumeration Date | 2014-08-25 |
Last Update Date | 2024-03-15 |