NPI | 1841733607 |
---|---|
Former Name | CHELSEA INGRAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2016-11-28 |
Last Update Date | 2017-08-14 |