| NPI | 1164926648 |
|---|---|
| Former Name | EMILIE MOONSHOWER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2023-11-16 |