NPI | 1649527474 |
---|---|
Former Name | MASHEZIA JANESE BOYD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 6025) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2012-08-10 |
Last Update Date | 2019-07-30 |