| NPI | 1437694312 |
|---|---|
| Former Name | JOSLYNN LYNETTE MCNEISH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701011693) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0718000541) |
| Enumeration Date | 2016-12-30 |
| Last Update Date | 2023-07-05 |