| NPI | 1386123651 |
|---|---|
| Former Name | CORINNE BLOOM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2020-06-22 |