NPI | 1962994418 |
---|---|
Former Name | KIANA ALEXIS BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 172V00000X Community Health Worker |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2018-05-31 |
Last Update Date | 2024-09-24 |