NPI | 1134684731 |
---|---|
Former Name | BREEANNA ROSE SPEICHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 172V00000X Community Health Worker (Licence: NV CHW2-5094) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2019-02-07 |
Last Update Date | 2025-03-06 |