| NPI | 1477330942 |
|---|---|
| Former Name | MARY MASOMEH JONAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW16791) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2023-09-11 |