NPI | 1396276234 |
---|---|
Former Name | JOCELYN MARIE MITCHELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 56310) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L12110) |
Enumeration Date | 2017-03-22 |
Last Update Date | 2024-01-11 |