NPI | 1720514193 |
---|---|
Former Name | SIMONE ELISE IRWIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2017-05-04 |
Last Update Date | 2020-12-22 |