NPI | 1184062978 |
---|---|
Former Name | TERESA MARIE LIETO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: NV 01246-Intern) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2013-06-13 |
Last Update Date | 2013-06-19 |