NPI | 1003393869 |
---|---|
Other Name | VIVIAN MANCHESS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2018-07-24 |
Last Update Date | 2018-07-24 |