NPI | 1225656788 |
---|---|
Former Name | DARBY MERCEDES SAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: NV RBT-21-151725) |
Enumeration Date | 2020-07-10 |
Last Update Date | 2025-01-10 |