| NPI | 1841778875 |
|---|---|
| Former Name | JENNIFER RUTH ROZELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC010576) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: 18-125) |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2020-06-13 |