| NPI | 1669702957 |
|---|---|
| Former Name | JEAN ANN CATES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OK 20104) |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2024-09-03 |