| NPI | 1932224193 |
|---|---|
| Former Name | JOLANE BAKLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE LMHP992) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NE LMFT 08) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2010-05-06 |