NPI | 1548736333 |
---|---|
Former Name | ELIZABETH SEABROOK TURNAGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-18-31010) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS LPC04827) |
Enumeration Date | 2018-10-18 |
Last Update Date | 2024-09-12 |