NPI | 1740559962 |
---|---|
Former Name | ALICE NORMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2011-12-16 |
Last Update Date | 2016-05-18 |