| NPI | 1801542352 |
|---|---|
| Former Name | GABRIELLE NICOLE JEFFERIES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: UT RBT21189200) |
| Enumeration Date | 2022-02-23 |
| Last Update Date | 2024-12-18 |