NPI | 1346756384 |
---|---|
Other Name | IVELISSE REYES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2017-12-27 |
Last Update Date | 2024-12-10 |