| NPI | 1184485781 |
|---|---|
| Former Name | CARLISSA ELIZABETH PRITCHETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-02-08 |