| NPI | 1962946244 |
|---|---|
| Former Name | JENNIFER HAENCHEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2015006043) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2021-03-09 |