NPI | 1235255407 |
---|---|
Former Name | KRISTY L DALE-CELESLIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2013010231) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2007-03-21 |
Last Update Date | 2023-06-12 |