| NPI | 1679037063 |
|---|---|
| Former Name | MEGAN EILLEEN CAROLAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA BH000703) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: DE 103K00000X) |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2019-08-09 |