NPI | 1912203803 |
---|---|
Former Name | ANN THERESA JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50078812) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904008514) |
Enumeration Date | 2011-02-10 |
Last Update Date | 2021-06-01 |