| NPI | 1215287461 |
|---|---|
| Former Name | JANE ENGELKEN NEVINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: VA 0718000100) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0701002611) |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2021-02-02 |