NPI | 1649604885 |
---|---|
Former Name | HEATHER RENEE JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 5751) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 5751) |
Enumeration Date | 2013-08-23 |
Last Update Date | 2020-05-26 |