NPI | 1780225946 |
---|---|
Former Name | JANMARIE POPOVICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC010809) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-19-96205) |
Enumeration Date | 2019-09-30 |
Last Update Date | 2023-01-05 |