NPI | 1053899252 |
---|---|
Other Name | AMANDA MICHELLE JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 70072) |
Enumeration Date | 2018-07-31 |
Last Update Date | 2024-04-01 |