NPI | 1255118485 |
---|---|
Former Name | ANITA JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 121744) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 88187) |
Enumeration Date | 2023-09-12 |
Last Update Date | 2024-05-06 |