NPI | 1679629042 |
---|---|
Former Name | LAURA KATHERINE DECORTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: FL SW-4576) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW 4576) |
Enumeration Date | 2007-01-26 |
Last Update Date | 2011-02-07 |