| NPI | 1194178830 |
|---|---|
| Former Name | JACQUELYN TAYLOR BROWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C4984) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 19-02-02) |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2022-02-09 |