NPI | 1114383130 |
---|---|
Other Name | TARA LEIGH DEVRIES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101Y00000X Counselor |
103K00000X Behavior Analyst | |
Enumeration Date | 2016-01-06 |
Last Update Date | 2022-05-12 |