| 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 |