NPI | 1356775647 |
---|---|
Former Name | SHARICKAH JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MI 6301015420) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401013517) |
Enumeration Date | 2013-08-22 |
Last Update Date | 2013-08-22 |