| NPI | 1063744480 |
|---|---|
| Former Name | THERESA ANN YATES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| Enumeration Date | 2010-02-10 |
| Last Update Date | 2020-10-29 |