| NPI | 1750750683 |
|---|---|
| Former Name | JENNA WHITEFOOT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401014880) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401014880) |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2025-05-29 |