NPI | 1629413448 |
---|---|
Former Name | KELLON DONALD HUGHES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2013-05-07 |
Last Update Date | 2019-11-22 |