| NPI | 1952585622 |
|---|---|
| Former Name | JACQUELINE TANIE FOSTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2015-11-03 |