NPI | 1932467776 |
---|---|
Former Name | SARAH LILLIAN ADOLPHSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-11-8304) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: UT 800311-2506) |
104100000X Social Worker (Licence: UT 311800-3503) | |
146M00000X Emergency Medical Technician, Intermediate (Licence: UT 2022037088) | |
Enumeration Date | 2012-04-30 |
Last Update Date | 2022-09-22 |