| NPI | 1659881050 |
|---|---|
| Former Name | BRIDGETT NICOLE LATIMORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2023-11-02 |