| NPI | 1548819279 |
|---|---|
| Former Name | IVORIE NICOLE MAYES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2022-07-13 |