| NPI | 1154920270 |
|---|---|
| Former Name | VALERIE JEAN WYNES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2023-12-12 |