| NPI | 1073071064 |
|---|---|
| Former Name | SHANICE MAE BAUER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2023-07-27 |