| NPI | 1518684737 |
|---|---|
| Former Name | MICHALA MARIE STEPANEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider |
| Enumeration Date | 2022-10-27 |
| Last Update Date | 2023-05-29 |