| NPI | 1902305188 |
|---|---|
| Other Name | ANTONIA BRINEE THACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 712190) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2024-09-17 |