| NPI | 1972058295 |
|---|---|
| Former Name | JENNIFER LEE BONINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.011558) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SD LPC-MH30730) |
| 101YP2500X Counselor, Professional (Licence: IN 39004877A) | |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2025-06-24 |