NPI | 1770968844 |
---|---|
Former Name | KAYANA IEISHA-MARIE SANDERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: NV RBT-18-52418) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2015-07-29 |
Last Update Date | 2019-12-10 |