NPI | 1952704926 |
---|---|
Former Name | JENNIFER JEAN RHODES-WEIMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: NC 8616) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NC A8616) |
101YM0800X Counselor, Mental Health | |
101YP2500X Counselor, Professional (Licence: NC 8616) | |
Enumeration Date | 2014-10-03 |
Last Update Date | 2021-09-21 |