NPI | 1962740225 |
---|---|
Former Name | RACHAEL MARIE MCMANAMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401000560) |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2013-01-22 |
Last Update Date | 2022-10-11 |