| NPI | 1194350884 |
|---|---|
| Former Name | CHARLOTTE SUE AAGAARD TILLERY |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2024-05-20 |