| NPI | 1477021657 |
|---|---|
| Former Name | JANETTE MAE LABURN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: MI 6301007137) |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2020-04-13 |