| NPI | 1083127294 |
|---|---|
| Former Name | JANICE ENDERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 9292) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 2524) |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2022-06-02 |