NPI | 1538483813 |
---|---|
Former Name | JOCELYN MITCHELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701004626) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC13761) |
Enumeration Date | 2010-03-16 |
Last Update Date | 2018-02-28 |