| NPI | 1386017812 |
|---|---|
| Former Name | JENILLE LOVELACE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0015498) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0000936) |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2023-11-17 |