| NPI | 1104933472 |
|---|---|
| Professional Name | JEANNIE O SULLIVAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 11418) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 11418) |
| 101YP2500X Counselor, Professional (Licence: TX 11418) | |
| 106H00000X Marriage & Family Therapist (Licence: TX 003395) | |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2007-07-08 |