| NPI | 1750027686 |
|---|---|
| Former Name | ROBIN SOUTHARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2022-05-12 |
| Last Update Date | 2024-05-21 |