NPI | 1265147961 |
---|---|
Former Name | ASHLEY GLEED/KRUEGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 175T00000X Peer Specialist |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
172A00000X Driver | |
Enumeration Date | 2023-01-17 |
Last Update Date | 2024-06-13 |