NPI | 1912305558 |
---|---|
Former Name | VANESSA LASHALLE JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: MI 640101048) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401011048) |
Enumeration Date | 2014-12-14 |
Last Update Date | 2022-03-03 |