NPI | 1700265469 |
---|---|
Former Name | CUTRINA PATRICE BURSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6451017502) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2015-05-27 |
Last Update Date | 2024-12-17 |