NPI | 1790437408 |
---|---|
Former Name | JAYME R MASON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: TN 7952) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 8638) |
Enumeration Date | 2022-01-24 |
Last Update Date | 2023-07-04 |