NPI | 1467123018 |
---|---|
Other Name | JULIA KAY BLAYLOCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2021-09-23 |
Last Update Date | 2021-09-24 |