| 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 |