| NPI | 1568934552 |
|---|---|
| Former Name | LORRAINE THERESE BURWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IN 1-18-32881) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OH COBA.00501) |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2023-03-23 |