NPI | 1770175036 |
---|---|
Professional Name | SECRET SCHRAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician |
Additional Taxonomies | 251E00000X Home Health |
374U00000X Home Health Aide | |
Enumeration Date | 2021-02-08 |
Last Update Date | 2022-12-13 |