NPI | 1952334369 |
---|---|
Former Name | ANNE GAUDETTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 111236) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2006-07-09 |
Last Update Date | 2022-12-30 |