NPI | 1891210142 |
---|---|
Former Name | SHELLY JANAE FRANCISCO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MO 2018034379) |
Enumeration Date | 2017-08-08 |
Last Update Date | 2019-08-13 |