NPI | 1710342951 |
---|---|
Former Name | TINA M HARTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: RBT-17-33977) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2015-12-15 |
Last Update Date | 2021-10-06 |