| NPI | 1518336601 |
|---|---|
| Former Name | AUTUMN DIONIZIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2021-02-14 |