NPI | 1144003328 |
---|---|
Former Name | ALYCIA M PORTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: NV 10950-M) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
Enumeration Date | 2023-08-14 |
Last Update Date | 2023-09-12 |