| NPI | 1164780904 |
|---|---|
| Former Name | KIMBERLY JONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT LCSW-23971) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-34558) |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2020-12-21 |