NPI | 1952999716 |
---|---|
Former Name | CONNIE R GAINES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 225C00000X Rehabilitation Counselor |
Enumeration Date | 2021-01-07 |
Last Update Date | 2021-01-08 |