NPI | 1750055174 |
---|---|
Former Name | DIANA LAREE YEARSLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2021-08-09 |
Last Update Date | 2023-04-27 |