| NPI | 1609484021 |
|---|---|
| Former Name | KIARA DANIELLE DE JESUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH RBT-20-126331) |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2024-04-01 |