NPI | 1720608094 |
---|---|
Former Name | JANA ELAINE FRANKUM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MS 2578) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MS 2578) |
101YM0800X Counselor Mental Health (Licence: TN 6424) | |
Enumeration Date | 2020-04-16 |
Last Update Date | 2024-07-12 |