NPI | 1073276135 |
---|---|
Former Name | ZORA DICKINSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2021-10-15 |
Last Update Date | 2024-05-29 |