| NPI | 1427455690 |
|---|---|
| Former Name | TAMICKA LEWIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA6659) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: DC 2002659) |
| 207K00000X Allergy & Immunology (Licence: DC 2002659) | |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2018-05-02 |