NPI | 1467804419 |
---|---|
Former Name | HANNAH SUZSNNE LAFOLLETTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AL 1-15-20711) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AL 2017-073) |
Enumeration Date | 2016-07-01 |
Last Update Date | 2022-07-14 |