| NPI | 1730569773 |
|---|---|
| Former Name | MAGEN SILVA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-16-24288) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2016-12-19 |