NPI | 1962131300 |
---|---|
Former Name | KAMEAH DAWN ANGLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
Enumeration Date | 2022-06-09 |
Last Update Date | 2022-06-09 |