| 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 |