| NPI | 1689925836 |
|---|---|
| Former Name | MALLORY HOLTER CHILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 852) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2025-12-23 |