NPI | 1821515198 |
---|---|
Former Name | MICTISSA MOSELEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2017-08-27 |
Last Update Date | 2024-08-05 |