NPI | 1558680926 |
---|---|
Former Name | MARCIA J CRIDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2019024180) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC006365) |
103K00000X Behavior Analyst | |
Enumeration Date | 2010-05-25 |
Last Update Date | 2023-02-16 |