| NPI | 1962979302 |
|---|---|
| Former Name | JEANNE FORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL LPC04673) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2024-05-31 |