| NPI | 1669950408 |
|---|---|
| Former Name | JENNIFER N GEISEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0019782) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701007758) |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2024-10-18 |