NPI | 1225402308 |
---|---|
Former Name | VICTORIA HARTFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2015-11-30 |
Last Update Date | 2018-05-18 |