NPI | 1265112825 |
---|---|
Other Name | AKEEYA ALEXIS DREW |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0732000800) |
Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0732000800) |
101YM0800X Counselor, Mental Health (Licence: VA 0733000792) | |
106S00000X Behavior Technician | |
Enumeration Date | 2023-07-19 |
Last Update Date | 2024-04-18 |