NPI | 1154759082 |
---|---|
Former Name | KAROL ANNE JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801068056) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6801068056) |
Enumeration Date | 2013-11-01 |
Last Update Date | 2013-11-01 |