NPI | 1336390079 |
---|---|
Former Name | ALESHA LIZZETTE JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: TX 66989) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2008-09-30 |
Last Update Date | 2014-01-09 |