| NPI | 1346788205 |
|---|---|
| Former Name | ANDGREA CANTRELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2017-02-15 |