| NPI | 1235432055 |
|---|---|
| Former Name | SANDRA KAYE MABRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2021-08-23 |