| NPI | 1174710172 |
|---|---|
| Former Name | JANNAVIE DAWN CROGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2014-02-07 |