| NPI | 1063822484 |
|---|---|
| Former Name | IVA INGRID GROSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2015-08-04 |