| NPI | 1538433743 |
|---|---|
| Former Name | JEANNE CLEVENGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA A04070315) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: CA A04070315) |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2024-08-09 |