NPI | 1669783049 |
---|---|
Former Name | WIYANNA O VICTOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM M-08963) |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2010-06-30 |
Last Update Date | 2025-05-09 |