NPI | 1053712265 |
---|---|
Former Name | JAZMIN DENISE JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801094505) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34007909A) |
Enumeration Date | 2014-09-07 |
Last Update Date | 2023-09-14 |