| NPI | 1881204246 |
|---|---|
| Former Name | CARISSA NICOLE ANDERSON/BAUGHMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IN 31008556A) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IN RBT-19-95273) |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2024-12-13 |