| NPI | 1992900492 |
|---|---|
| Former Name | PATRICE WANETTA DUMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2007018861) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 104100000X Social Worker | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 363LP0808X) | |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2024-09-18 |