| NPI | 1689561946 |
|---|---|
| Former Name | JAMIE SUZANNE AVERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AL LPC05596) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MS 3314) |
| Enumeration Date | 2025-06-19 |
| Last Update Date | 2025-06-24 |