NPI | 1245789817 |
---|---|
Former Name | KORISSA LARIMORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09926606) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2016-09-23 |
Last Update Date | 2020-03-31 |