| NPI | 1265980148 |
|---|---|
| Former Name | LORETTA MARIE JONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR R9483) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2024-07-15 |