NPI | 1114767886 |
---|---|
Former Name | ABIGAIL TAYLOR LOUZADER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2024-05-29 |
Last Update Date | 2024-11-13 |