NPI | 1003586157 |
---|---|
Other Name | GLENNETTA MAYES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: OK 0089870) |
Enumeration Date | 2021-09-19 |
Last Update Date | 2024-04-19 |