| NPI | 1922341627 |
|---|---|
| Former Name | TONYA EBLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2021-07-02 |