NPI | 1568024297 |
---|---|
Former Name | MARY LYNN CUMINGS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2019-07-02 |
Last Update Date | 2023-05-04 |