NPI | 1336555812 |
---|---|
Former Name | RHONDA LOUISE RAVENELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301015937) |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2014-07-07 |
Last Update Date | 2018-04-09 |