NPI | 1003995952 |
---|---|
Former Name | SUSAN MARSHALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 172V00000X Community Health Worker |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
101Y00000X Counselor | |
Enumeration Date | 2006-11-03 |
Last Update Date | 2023-07-31 |