NPI | 1164918082 |
---|---|
Former Name | CHASITY MARIE CROSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: ND 5616) |
Additional Taxonomies | 104100000X Social Worker (Licence: ND 5616) |
Enumeration Date | 2018-07-03 |
Last Update Date | 2024-10-29 |