NPI | 1982933578 |
---|---|
Former Name | JESSIE MAKOHON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C7212) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2009-12-10 |
Last Update Date | 2025-08-14 |