NPI | 1770051963 |
---|---|
Former Name | HANNA MARIE PROUSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0015599) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA PLC7622) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2018-11-06 |
Last Update Date | 2023-10-11 |