NPI | 1093110355 |
---|---|
Former Name | ALLISON POLSTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician |
Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist |
Enumeration Date | 2014-10-29 |
Last Update Date | 2022-08-22 |