| NPI | 1104638303 |
|---|---|
| Former Name | CARRIE ANN LOUGHMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2025-01-23 |
| Last Update Date | 2025-01-23 |