NPI | 1184022675 |
---|---|
Former Name | DESIREE HATTEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH24434) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2014-12-15 |
Last Update Date | 2024-11-06 |