| NPI | 1538647144 |
|---|---|
| Former Name | MADISON RAESS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: NM M-1184) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2021-08-16 |