NPI | 1629471974 |
---|---|
Former Name | JAMIE POWERS JONSSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 79574) |
Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW63436) |
Enumeration Date | 2014-10-01 |
Last Update Date | 2022-07-26 |