| NPI | 1487439048 |
|---|---|
| Former Name | LISA MICHELLE ELDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Additional Taxonomies | 3747P1801X Technician Personal Care Attendant |
| Enumeration Date | 2023-08-30 |
| Last Update Date | 2023-08-30 |