NPI | 1982897575 |
---|---|
Professional Name | THE MAIN TALE LLC |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: WY 308) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2007-08-27 |
Last Update Date | 2012-12-14 |