NPI | 1679924559 |
---|---|
Former Name | CARRIE STAHLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY 1247) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2016-06-22 |
Last Update Date | 2021-03-02 |