NPI | 1124665047 |
---|---|
Former Name | AUTUMN ELIZABETH HURLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-21-50869) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2019-12-10 |
Last Update Date | 2024-07-24 |