NPI | 1144599556 |
---|---|
Former Name | ANNA RICHELLE OLMSTEAD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401012788) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: MI 6803085177) |
Enumeration Date | 2011-12-14 |
Last Update Date | 2012-06-07 |