NPI | 1558718411 |
---|---|
Other Name | ABBY BOLEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: AR P230617) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2016-05-20 |
Last Update Date | 2023-06-21 |