NPI | 1689703985 |
---|---|
Former Name | JANA KAY LENEAVE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904008254) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149012566) |
Enumeration Date | 2007-03-04 |
Last Update Date | 2015-03-31 |