| NPI | 1346972874 |
|---|---|
| Former Name | JAYDE D SLEETH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IA 21117) |
| Enumeration Date | 2022-06-24 |
| Last Update Date | 2024-01-29 |