NPI | 1376986588 |
---|---|
Former Name | MISTY M TESSENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: MI 6801086844) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801086844) |
Enumeration Date | 2013-04-08 |
Last Update Date | 2014-02-11 |