| NPI | 1538539838 |
|---|---|
| Former Name | STEPHANIE BODDIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2020-01-03 |