NPI | 1073852588 |
---|---|
Former Name | CLARE LESLIE LAROSA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: PA sw012011L) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NY 0727981) |
Enumeration Date | 2013-02-04 |
Last Update Date | 2013-02-04 |