NPI | 1639527310 |
---|---|
Former Name | ASHLEY NAKIA MITCHELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician |
Additional Taxonomies | 222Q00000X Developmental Therapist |
Enumeration Date | 2016-06-02 |
Last Update Date | 2023-07-19 |