NPI | 1053869719 |
---|---|
Former Name | AUTUMN ADDEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 222Q00000X Developmental Therapist |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2016-09-12 |
Last Update Date | 2024-06-27 |