NPI | 1801324058 |
---|---|
Former Name | MORGAN GABRIELLE MCCARGO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: UT 12497106-2501) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2017-06-01 |
Last Update Date | 2022-03-22 |