NPI | 1780453548 |
---|---|
Former Name | SOVA KATE PIVEN-KEHRLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2023-12-21 |
Last Update Date | 2023-12-22 |