| NPI | 1427424118 |
|---|---|
| Former Name | NICOLE JONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LPC-5929) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ID 5929) |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2021-11-12 |