NPI | 1639177843 |
---|---|
Former Name | JANET ELAINE FLOYD-WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH14129) |
Additional Taxonomies | 101Y00000X Counselor (Licence: TN LPC830) |
101YP2500X Counselor, Professional (Licence: TN LPC830) | |
Enumeration Date | 2005-07-12 |
Last Update Date | 2016-04-25 |