| NPI | 1528197654 |
|---|---|
| Former Name | JEANINE YVONNE DONALDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL SW1166) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL SW1166) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2017-10-10 |