| NPI | 1881075117 |
|---|---|
| Former Name | ASHLEY RAE JONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA 65368) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2015-11-16 |