| NPI | 1538786017 |
|---|---|
| Former Name | JANEL HOPE SHEPPARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT BBH-LAC-LIC-43741) |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2024-02-14 |