NPI | 1578805321 |
---|---|
Former Name | JANESA NOVELLI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 178833) |
224Z00000X Occupational Therapy Assistant (Licence: OH OTA. 05302) | |
Enumeration Date | 2013-03-20 |
Last Update Date | 2025-03-12 |