NPI | 1679199293 |
---|---|
Former Name | JESSICA MARIE THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: OH RBT-19-87433) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2020-06-19 |
Last Update Date | 2024-01-05 |