NPI | 1346442092 |
---|---|
Former Name | KATHLENE LEMAY BARRACO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801076621) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2007-06-04 |
Last Update Date | 2007-07-08 |