NPI | 1235856030 |
---|---|
Former Name | CHRISTINE ELIZABETH WOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2022-10-21 |
Last Update Date | 2022-10-21 |