NPI | 1629443031 |
---|---|
Former Name | CARRIE PERREAULT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician |
Additional Taxonomies | 175T00000X Peer Specialist |
Enumeration Date | 2015-12-10 |
Last Update Date | 2024-07-10 |