NPI | 1386114783 |
---|---|
Former Name | DENISE STARK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2018-11-28 |
Last Update Date | 2023-03-23 |