| NPI | 1902955792 |
|---|---|
| Former Name | JAMIE DYAN MCMAHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 3858) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 5373) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2016-10-14 |