| NPI | 1639642911 |
|---|---|
| Former Name | ELISE NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2303001) |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2023-06-15 |