| NPI | 1720010622 |
|---|---|
| Former Name | JENNY P LEWIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 149009140) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149009140) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2023-09-08 |