| NPI | 1578079505 |
|---|---|
| Former Name | MARIA CECELIA DIMICHELE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AL RBT-17-44003) |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2019-08-22 |