| NPI | 1316455181 |
|---|---|
| Former Name | ANGELINE VIRGINIA GEHLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 01-17-28494) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-17-28494) |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2020-03-02 |