| NPI | 1932327145 |
|---|---|
| Former Name | JENNIFER JO GREENHOLT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC001113) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: PA PC001113) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2007-07-08 |