NPI | 1972132389 |
---|---|
Former Name | JOY L WALRAVEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2020-04-07 |
Last Update Date | 2023-05-04 |