| NPI | 1346473618 |
|---|---|
| Former Name | STACI LARIVIERE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NM X-07847) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2012-07-19 |