| NPI | 1215335963 |
|---|---|
| Former Name | TAKEIYA MONIQUE COMBS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 1-24-78466) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2025-01-07 |