| NPI | 1689340085 |
|---|---|
| Former Name | JAMIE GENNETTE HENRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA RH0007340821) |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2021-08-17 |