NPI | 1497557177 |
---|---|
Former Name | SHANTIK CUNETER HARRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL 50-17090) |
Enumeration Date | 2025-03-25 |
Last Update Date | 2025-04-22 |