NPI | 1023756673 |
---|---|
Former Name | DYMON TODMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH 2208253) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2022-05-24 |
Last Update Date | 2024-03-19 |