NPI | 1609374461 |
---|---|
Former Name | CHRISTINA MARIE SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OR 1-24-73976) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2018-01-26 |
Last Update Date | 2024-10-02 |