NPI | 1700417847 |
---|---|
Former Name | JOSEE JENKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC13536) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP11458) |
101YP2500X Counselor, Professional (Licence: OH C.2103099) | |
Enumeration Date | 2020-01-28 |
Last Update Date | 2024-01-10 |