| NPI | 1578184982 |
|---|---|
| Former Name | CHARLEY MARISSA GALLOWAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AR 1-24-76649) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2024-11-01 |