NPI | 1790177558 |
---|---|
Former Name | MILLICENT MARIE DUFFEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD 1480) |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2015-03-03 |
Last Update Date | 2023-03-29 |