NPI | 1780165589 |
---|---|
Former Name | JENNIFER MILEHAM/BAUGH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 106S00000X Behavior Technician |
172V00000X Community Health Worker | |
Enumeration Date | 2018-08-28 |
Last Update Date | 2023-12-11 |