| NPI | 1679255582 |
|---|---|
| Former Name | IMAREE MCINNIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2024-04-15 |