| NPI | 1063760841 |
|---|---|
| Former Name | LETISHA QUALLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2021-07-26 |