NPI | 1306473756 |
---|---|
Former Name | AISLINN BROUSSARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: AR RBT-22-247165) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2020-03-25 |
Last Update Date | 2023-01-05 |