NPI | 1366775504 |
---|---|
Former Name | SUSAN V REYES-GARCIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician |
Additional Taxonomies | 101Y00000X Counselor (Licence: NM M-08186) |
1041C0700X Social Worker, Clinical (Licence: NM M-08186) | |
Enumeration Date | 2009-09-04 |
Last Update Date | 2019-07-19 |