NPI | 1225314461 |
---|---|
Former Name | ROBIN DYKES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR A2109011) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2011-11-02 |
Last Update Date | 2021-09-21 |