NPI | 1366864464 |
---|---|
Former Name | LORRAINE MONET OLIVER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-13-14385) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 11314385) |
Enumeration Date | 2014-01-09 |
Last Update Date | 2022-05-31 |