NPI | 1770249864 |
---|---|
Former Name | PAIGE BALDWIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 7780-226) |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2021-11-12 |
Last Update Date | 2025-01-23 |