| NPI | 1558939538 |
|---|---|
| Former Name | LACEY LEEAN JONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61082458) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 91-1324228) |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2024-05-01 |