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 |