| NPI | 1932839339 |
|---|---|
| Former Name | JENNIFER RENEE THOENNES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK 227692) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2025-04-17 |