NPI | 1316291420 |
---|---|
Former Name | MICHELLE MORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 2994) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
Enumeration Date | 2012-10-29 |
Last Update Date | 2022-11-02 |