NPI | 1235802554 |
---|---|
Former Name | JESSICA HARPER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P020999) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: NC 11952) |
Enumeration Date | 2021-08-02 |
Last Update Date | 2025-02-03 |