| NPI | 1205295656 |
|---|---|
| Former Name | CHRISTINE SULLIVAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-17-26493) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| Enumeration Date | 2016-02-14 |
| Last Update Date | 2022-07-21 |