NPI | 1871000224 |
---|---|
Former Name | JAYMIN COX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801105924) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI C-03797) |
1041C0700X Social Worker, Clinical (Licence: MI 6801100457) | |
Enumeration Date | 2018-01-08 |
Last Update Date | 2025-03-09 |