| NPI | 1427210376 |
|---|---|
| Former Name | JANELLE WELBOURN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IA 001145) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 174400000X Specialist | |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2009-08-10 |