NPI | 1982248159 |
---|---|
Former Name | KORI L ANDRESS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2019-10-31 |
Last Update Date | 2024-08-15 |