NPI | 1952760118 |
---|---|
Former Name | KATIE E BURDICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 891) |
Enumeration Date | 2016-02-16 |
Last Update Date | 2022-12-13 |