| NPI | 1417604794 |
|---|---|
| Former Name | NATALIE SALAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-03-07 |
| Last Update Date | 2022-05-02 |