NPI | 1831602994 |
---|---|
Former Name | SHELBY L WILKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2017-11-13 |
Last Update Date | 2023-03-24 |