NPI | 1649781600 |
---|---|
Former Name | DENISE CRISTINA HARDT PIRES CALLAO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-19-34933) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL CMHP100001) |
106S00000X Behavior Technician (Licence: FL 17-30416) | |
Enumeration Date | 2017-10-18 |
Last Update Date | 2025-01-13 |