| NPI | 1174183271 |
|---|---|
| Former Name | VERA ELLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2020-07-23 |