NPI | 1407940919 |
---|---|
Former Name | JANA C SANDERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 73664) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 4549) |
101YP2500X Counselor, Professional (Licence: CO 14432) | |
Enumeration Date | 2006-10-02 |
Last Update Date | 2018-12-04 |