NPI | 1275884108 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-16-22422) |
Additional Taxonomies | 103K00000X Behavior Analyst |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2012-10-02 |
Last Update Date | 2021-09-13 |