NPI | 1396210381 |
---|---|
Former Name | VICTORIA RAMOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 79846) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-18-67139) |
Enumeration Date | 2018-10-05 |
Last Update Date | 2020-03-19 |