NPI | 1285131847 |
---|---|
Former Name | CHLOE LONG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 101Y00000X Counselor |
106S00000X Behavior Technician | |
Enumeration Date | 2018-04-10 |
Last Update Date | 2023-07-26 |