NPI | 1043503139 |
---|---|
Former Name | JANEEN RENEE ZWEIFEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: KS LPC 987) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2011-05-23 |
Last Update Date | 2011-05-23 |