| NPI | 1437599560 |
|---|---|
| Former Name | DEANNA DUBES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KS 277) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 1385937112) |
| 103T00000X Psychologist (Licence: KS 0577) | |
| 163W00000X Registered Nurse (Licence: MO 2000171955) | |
| 171M00000X Case Manager/Care Coordinator (Licence: KS 00130177) | |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2013-07-03 |