NPI | 1225171721 |
---|---|
Former Name | HOLLY LEEANN MCCLURE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2007-02-14 |
Last Update Date | 2021-09-08 |