NPI | 1679298061 |
---|---|
Former Name | KELLY PERLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: NE P-2226) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2022-10-07 |
Last Update Date | 2024-11-08 |