| NPI | 1871000919 |
|---|---|
| Former Name | JENNA WONISH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34009559A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2018027453) |
| 1041C0700X Social Worker, Clinical (Licence: TX 67300) | |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2024-08-21 |