NPI | 1720334659 |
---|---|
Former Name | KRISTIN ELLEN JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: NE 862) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NE 4335) |
Enumeration Date | 2012-07-30 |
Last Update Date | 2014-09-24 |