| NPI | 1790349991 |
|---|---|
| Former Name | SHIRLEY DENISE BROWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 167G00000X Licensed Psychiatric Technician |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2023-10-13 |