| NPI | 1790560043 |
|---|---|
| Former Name | STACY LIANE JONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-ICWOFK) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2023-08-25 |
| Last Update Date | 2023-12-04 |