| NPI | 1225345077 |
|---|---|
| Former Name | JAYDE KENNEDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MI 6301016332) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2016-08-29 |