NPI | 1861094948 |
---|---|
Former Name | CASSANDRA LEIGH DICKHOF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2020-11-12 |
Last Update Date | 2020-11-13 |