NPI | 1679112049 |
---|---|
Former Name | AUTUMN MARIE PARKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 172V00000X Community Health Worker |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2020-01-02 |
Last Update Date | 2024-01-04 |