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 |