| NPI | 1417676255 |
|---|---|
| Former Name | KATIE LYNN NYE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA BKITYVZOJMUFESPN) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2023-07-05 |