| NPI | 1538471859 |
|---|---|
| Former Name | ALLYSON RENE FOWLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 0125123) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2022-10-13 |