| NPI | 1780292565 |
|---|---|
| Former Name | SHANTTELLE PIERDANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-07-17 |
| Last Update Date | 2024-04-29 |