NPI | 1326511866 |
---|---|
Former Name | CRISTYN JENE' COLVARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: MI 6851110219) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2019-01-08 |
Last Update Date | 2022-05-02 |