NPI | 1093450702 |
---|---|
Former Name | DILLON JAMES SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2022-04-28 |
Last Update Date | 2024-11-18 |