NPI | 1265952873 |
---|---|
Former Name | LYNN MARIE PERSICA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: LA 14381) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: LA 14381) |
Enumeration Date | 2017-06-24 |
Last Update Date | 2018-09-12 |