NPI | 1629354774 |
---|---|
Former Name | NANCY DIANE HARRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2011-11-02 |
Last Update Date | 2024-08-29 |