NPI | 1972132389 |
---|---|
Former Name | JOY L WALRAVEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 172V00000X Community Health Worker |
Additional Taxonomies | 106S00000X Behavior Technician |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2020-04-07 |
Last Update Date | 2025-01-02 |