| NPI | 1760955322 |
|---|---|
| Former Name | MERCEDIES-MARIE MIKALA MCCALLA-SIMMONDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 1-22-58192) |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2023-09-20 |