NPI | 1154625507 |
---|---|
Former Name | MIEKE JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801090951) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801090951) |
Enumeration Date | 2010-12-28 |
Last Update Date | 2020-04-13 |