| NPI | 1073016309 |
|---|---|
| Other Name | TIN LYTRELL DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2018-03-13 |