NPI | 1346601598 |
---|---|
Other Name | RUSTY WINCHESTER |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2016-03-16 |
Last Update Date | 2024-05-11 |