| NPI | 1912673112 |
|---|---|
| Former Name | ROSALYN G BRISTOW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2021-08-18 |