| NPI | 1760093660 |
|---|---|
| Former Name | JENNIFER S LAPORTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2021-06-29 |