| NPI | 1801082631 |
|---|---|
| Former Name | MARY ELIZABETH BIRCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-13-13586) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW 10221) |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2014-01-18 |