NPI | 1851849707 |
---|---|
Former Name | HEATHER JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD LC10753) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: DC PRC15140) |
Enumeration Date | 2016-09-20 |
Last Update Date | 2021-07-23 |