| NPI | 1891416475 |
|---|---|
| Former Name | JENNI JO BAUER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2023-09-15 |