| NPI | 1720109069 |
|---|---|
| Former Name | JENNIFER R NAWRATH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: PA PC004402) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: PA PC004402) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2024-08-23 |