| NPI | 1558557710 |
|---|---|
| Former Name | ROSHELL D MAYBERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2019-02-21 |