NPI | 1487318192 |
---|---|
Former Name | KAILEY CROSSLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2021-10-28 |
Last Update Date | 2024-08-09 |