NPI | 1174129910 |
---|---|
Other Name | TRYS COOL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: KY 259071) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: KY RBT-20-146922) |
Enumeration Date | 2020-12-08 |
Last Update Date | 2025-09-03 |