NPI | 1932821873 |
---|---|
Former Name | LORI LYNN SUBASIC |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2410527) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
104100000X Social Worker (Licence: PA SW137953) | |
172V00000X Community Health Worker | |
Enumeration Date | 2022-09-16 |
Last Update Date | 2024-03-29 |