NPI | 1124861653 |
---|---|
Former Name | MADALINE SIFFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2024-06-13 |
Last Update Date | 2024-12-05 |