| NPI | 1548306475 |
|---|---|
| Former Name | STEPHANIE JONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW004714) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA CSW004714) |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical (Licence: FL SW11149) | |
| 106H00000X Marriage & Family Therapist (Licence: FL SW11149) | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2024-10-24 |