NPI | 1568950897 |
---|---|
Former Name | KODI EBRIGHT/RENTERIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 374J00000X Doula |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2018-04-23 |
Last Update Date | 2023-03-30 |