| NPI | 1124015284 |
|---|---|
| Former Name | JANET ELIZABETH GRAVES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: AL #1661/SLPC#448) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AL 1661) |
| 101YM0800X Counselor Mental Health (Licence: AL #1661;#448) | |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2012-03-21 |