| NPI | 1790249498 |
|---|---|
| Former Name | KEYASIA MITCHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-01-27 |
| Last Update Date | 2023-03-21 |