| NPI | 1245687300 |
|---|---|
| Former Name | CAROLINE CONKLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247200000X Technician, Other |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-05-18 |