NPI | 1841885472 |
---|---|
Former Name | AMBER MARIE BAKER, GALLUCCI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 376K00000X Nurse's Aide (Licence: WA NC60435340) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2021-03-05 |
Last Update Date | 2021-10-07 |