NPI | 1740783885 |
---|---|
Former Name | CHRISTY DAVIS-SPENCER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 11813) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2018-03-15 |
Last Update Date | 2019-09-10 |