| NPI | 1831804327 |
|---|---|
| Former Name | MARY JONES |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR A14972) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-24-3445) |
| 104100000X Social Worker | |
| Enumeration Date | 2023-01-18 |
| Last Update Date | 2024-08-21 |