| NPI | 1477718831 |
|---|---|
| Former Name | JOCELYN GAMBLE MIMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0178451) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0115321) |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2017-02-22 |