| NPI | 1831469022 |
|---|---|
| Former Name | VENUS JACOBUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 12560) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-13705) |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2020-06-27 |