NPI | 1447676671 |
---|---|
Former Name | SHELBY N WELCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 1-18-32560) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401014846) |
146N00000X Emergency Medical Technician, Basic | |
Enumeration Date | 2014-03-12 |
Last Update Date | 2020-10-28 |