NPI | 1811056864 |
---|---|
Former Name | MELISSA BROOKE SLAUGHTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: AR 2270-C) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2006-12-06 |
Last Update Date | 2010-10-25 |