| NPI | 1457864084 |
|---|---|
| Professional Name | JAY L MIRACLE-HUIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P014307) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NC RBT-17-43125) |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2020-01-30 |