| NPI | 1902230980 |
|---|---|
| Former Name | MINDY SUE JONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WV 1637) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: WV 1637) |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2021-12-16 |