NPI | 1609337237 |
---|---|
Former Name | TAMEKIA JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: AL 4297) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: GA 013719) |
101YM0800X Counselor Mental Health (Licence: TX 85666) | |
Enumeration Date | 2019-03-27 |
Last Update Date | 2024-05-16 |