| NPI | 1770990079 |
|---|---|
| Former Name | TINA MARIE NESTOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6802087987) |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2023-01-27 |