NPI | 1932586195 |
---|---|
Former Name | SUSAN JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401018954) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401015292) |
104100000X Social Worker | |
Enumeration Date | 2015-04-27 |
Last Update Date | 2024-09-03 |