| 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 |