NPI | 1073104071 |
---|---|
Former Name | SHEKINA K KABALA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 10289) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2021-02-01 |
Last Update Date | 2025-03-08 |