| NPI | 1477702454 |
|---|---|
| Former Name | JANICE KAY FRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2018043703) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health | |
| 101YM0800X Counselor, Mental Health (Licence: AR P1206066) | |
| 101YP2500X Counselor, Professional (Licence: AR P1206066) | |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2022-06-02 |