NPI | 1346988508 |
---|---|
Former Name | HAILEI ANN KINNEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2022-05-26 |
Last Update Date | 2025-05-20 |