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 |