NPI | 1609136027 |
---|---|
Former Name | ADRIENNE ROGERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2015010727) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2012-05-18 |
Last Update Date | 2023-05-25 |