NPI | 1508153701 |
---|---|
Former Name | MARILYN MCGREW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-11-8563) |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2011-07-08 |
Last Update Date | 2017-06-07 |