NPI | 1164781076 |
---|---|
Former Name | DESIREE ANDREWS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2012-05-11 |
Last Update Date | 2021-05-28 |