NPI | 1790858884 |
---|---|
Former Name | MICHELLE LYMBURNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: ND 2247) |
Additional Taxonomies | 101Y00000X Counselor (Licence: ND 2247) |
Enumeration Date | 2006-11-16 |
Last Update Date | 2018-09-14 |