| NPI | 1962174508 |
|---|---|
| Former Name | JENNA ROSE SCANLON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CT 5859) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2021-10-01 |
| Last Update Date | 2024-08-14 |