| NPI | 1548831704 |
|---|---|
| Former Name | GRACE CORNELISON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 0-24-15293) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-17-42634) |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2024-06-03 |