| NPI | 1972640670 |
|---|---|
| Former Name | MICKI JEAN SINCLAIR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 225800000X Recreation Therapist |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2024-12-18 |