NPI | 1912357591 |
---|---|
Former Name | ETRIYA HANNAH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2016-06-15 |
Last Update Date | 2019-01-25 |