| NPI | 1801516653 |
|---|---|
| Other Name | JEN HENRETTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 25651) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810005845) |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2022-08-31 |