| NPI | 1639381551 |
|---|---|
| Former Name | KARRIE BLAGRAVE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IN 1-13-14734) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IN 31004285A) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2013-11-12 |