| NPI | 1083979264 |
|---|---|
| Other Name | MARY ROSE KOERNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2022-02-14 |