NPI | 1285273102 |
---|---|
Former Name | ANGELICA ROSE MORALES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
247200000X Technician, Other | |
Enumeration Date | 2019-12-23 |
Last Update Date | 2024-01-26 |