NPI | 1942856281 |
---|---|
Former Name | TRINA JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 77237) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 14041) |
Enumeration Date | 2019-08-13 |
Last Update Date | 2019-08-13 |