| NPI | 1881464451 |
|---|---|
| Former Name | DEBORAH MARIE IDLETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2024-01-04 |
| Last Update Date | 2024-02-22 |