| NPI | 1295103158 |
|---|---|
| Former Name | ANNIE BILLIE JEAN JONES MARTINEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OR CADCI18-P-10) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2018-06-19 |