| NPI | 1013307073 |
|---|---|
| Other Name | ANNIE TUCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2017-05-05 |