NPI | 1295016426 |
---|---|
Former Name | JANEE MARIE JENKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401009860) |
Additional Taxonomies | 101YS0200X Counselor, School (Licence: MI SC0000676) |
Enumeration Date | 2011-09-01 |
Last Update Date | 2011-09-01 |