| NPI | 1073557229 |
|---|---|
| Former Name | JAMIE R REDDERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180033993) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 3206-125) |
| 101YP2500X Counselor, Professional (Licence: WI 3206-125) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2023-11-22 |