| NPI | 1962622746 |
|---|---|
| Former Name | JODY L DYE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2006022486) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2021-04-12 |