NPI | 1184030298 |
---|---|
Former Name | SAMANTHA BARNES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 11415108) |
Additional Taxonomies | 104100000X Social Worker (Licence: TX 54054) |
Enumeration Date | 2014-07-09 |
Last Update Date | 2014-07-09 |