NPI | 1154744886 |
---|---|
Former Name | GABRIELA DEMELLO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 10412) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103K00000X Behavior Analyst | |
Enumeration Date | 2014-01-31 |
Last Update Date | 2025-01-23 |