| NPI | 1326619834 |
|---|---|
| Former Name | JAIME LYN DEAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: KS 03368) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: SC 6166) |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2023-04-29 |