| NPI | 1306445440 |
|---|---|
| Former Name | CHAZARE' JADE MITCHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH RBT-20-137258) |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2023-10-30 |