NPI | 1134629991 |
---|---|
Former Name | AMANDA SMEGO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2018-02-19 |
Last Update Date | 2024-08-08 |