NPI | 1538352869 |
---|---|
Former Name | BRANDY K GOODWIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: HI BA-950) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301012316) |
Enumeration Date | 2007-08-21 |
Last Update Date | 2025-08-19 |