| NPI | 1295239671 |
|---|---|
| Former Name | FREDA A MCCANTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 1999136664) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MO 030489) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2022-02-08 |