NPI | 1114778974 |
---|---|
Former Name | ROBIN JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-22073) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701013293) |
Enumeration Date | 2024-03-29 |
Last Update Date | 2024-03-29 |