NPI | 1932984531 |
---|---|
Other Name | RYVER MADDERN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6851119019) |
Enumeration Date | 2023-08-30 |
Last Update Date | 2024-10-16 |