NPI | 1962889303 |
---|---|
Former Name | AIYANNA MARCUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2015-05-06 |
Last Update Date | 2018-11-01 |