NPI | 1356850374 |
---|---|
Former Name | CAROLINE GRAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-19-36056) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2017-09-21 |
Last Update Date | 2019-10-01 |