NPI | 1902472400 |
---|---|
Former Name | DARCIE MARIE SORENSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175T00000X Peer Specialist |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2021-06-03 |
Last Update Date | 2021-10-04 |