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 |