| NPI | 1790332385 |
|---|---|
| Former Name | KAILEY M SHIELDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2023-02-27 |