| NPI | 1831603042 |
|---|---|
| Former Name | JANE DYKES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 71392) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 71392) |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2024-12-10 |