| NPI | 1851356794 |
|---|---|
| Former Name | LINDA JOYCE JETER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 000627) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: NY 000627) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2007-07-08 |