| NPI | 1063896140 |
|---|---|
| Former Name | CYNTHIA CAROLETTE JONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC6163) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC14698) |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2021-01-11 |