NPI | 1275918146 |
---|---|
Professional Name | KELLISHIA T WORSHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 101Y00000X Counselor |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2015-07-21 |
Last Update Date | 2024-06-07 |