| NPI | 1780006940 |
|---|---|
| Former Name | JEANINE MAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH13743) |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2021-08-13 |