NPI | 1558916650 |
---|---|
Former Name | KAYELA LYNN OBERLOIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6851107482) |
Enumeration Date | 2019-08-06 |
Last Update Date | 2022-04-21 |