| NPI | 1457783920 |
|---|---|
| Former Name | CARRIE LEE CAPANYOLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-18-30298) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2018-09-28 |