| NPI | 1265907588 |
|---|---|
| Former Name | CLARICE MARIE FORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-10-13 |
| Last Update Date | 2024-04-30 |