NPI | 1821642497 |
---|---|
Former Name | NATALIE DONYELLE MITCHELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-16-22394) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: IN 10238430) |
103TS0200X Psychologist, School (Licence: IL 2055031) | |
103TS0200X Psychologist, School (Licence: IL 20550301) | |
Enumeration Date | 2019-07-31 |
Last Update Date | 2023-03-24 |