NPI | 1730471152 |
---|---|
Former Name | ALLISSEN C JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 167G00000X Licensed Psychiatric Technician (Licence: CA 36047) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2011-05-03 |
Last Update Date | 2025-01-06 |