NPI | 1124371877 |
---|---|
Former Name | PATRICIA KROMBACH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-16-23868) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
Enumeration Date | 2012-10-18 |
Last Update Date | 2018-11-13 |