NPI | 1811512692 |
---|---|
Former Name | ELIZABETH HOPE BONNEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-21923) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2020-06-08 |
Last Update Date | 2024-04-11 |