| NPI | 1447722012 |
|---|---|
| Former Name | CAREN JUDITH GUSSOFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: WA CG60710364) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: WA Sumption) |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2018-12-20 |