NPI | 1003341371 |
---|---|
Former Name | A'LYECIA RUTH IVORY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: LA 15067) |
Additional Taxonomies | 106S00000X Behavior Technician |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2017-04-25 |
Last Update Date | 2025-03-17 |