| NPI | 1144933854 |
|---|---|
| Former Name | KOURTNEY MITCHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: MS 171M00000X) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2022-12-28 |
| Last Update Date | 2023-01-23 |