NPI | 1306109533 |
---|---|
Former Name | JENISE MCKEEVER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 251B00000X Case Management (Licence: FL M216436829050) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2012-06-22 |
Last Update Date | 2024-05-10 |