| NPI | 1972799047 |
|---|---|
| Former Name | CAROLYN D. ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: MN 18916) |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2025-02-11 |