NPI | 1063763738 |
---|---|
Former Name | MELINDA ROBIN JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 258640) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 9315) |
1041C0700X Social Worker, Clinical (Licence: FL SW9340) | |
Enumeration Date | 2012-09-21 |
Last Update Date | 2024-07-23 |