NPI | 1417152562 |
---|---|
Former Name | CARMEN GRAVES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
104100000X Social Worker | |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2007-06-19 |
Last Update Date | 2007-07-08 |