NPI | 1750828745 |
---|---|
Former Name | MYSHIRA JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TF0200X Psychologist, Forensic |
Additional Taxonomies | 103T00000X Psychologist |
247200000X Technician, Other | |
Enumeration Date | 2017-01-27 |
Last Update Date | 2025-04-01 |