NPI | 1346722543 |
---|---|
Former Name | ALYSHA MACHUTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2018-09-04 |
Last Update Date | 2021-10-15 |