| NPI | 1699190645 |
|---|---|
| Former Name | JUSTINA MARIE FIELDSEND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 4363) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NE 2120) |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2014-02-27 |