NPI | 1811072952 |
---|---|
Former Name | JENNIFER R STERN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ 14203) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 3044-125) |
Enumeration Date | 2006-10-26 |
Last Update Date | 2016-12-20 |