NPI | 1023488103 |
---|---|
Former Name | JANUARY JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: LA PLPC6987) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2015-10-01 |
Last Update Date | 2022-09-16 |