NPI | 1386138758 |
---|---|
Former Name | ANNA CATHRYN FULLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: UT 12716936-3503) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2018-06-19 |
Last Update Date | 2024-03-08 |