NPI | 1255598082 |
---|---|
Former Name | MICHELLE LATRIECE CORTEZ-JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 20110) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 20110) |
Enumeration Date | 2008-05-20 |
Last Update Date | 2024-06-11 |