NPI | 1124495320 |
---|---|
Former Name | IVY M MARCY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2015-08-24 |
Last Update Date | 2019-03-22 |