NPI | 1972058576 |
---|---|
Former Name | CYNTHIA L THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 222Q00000X Developmental Therapist |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 17-38247) |
Enumeration Date | 2016-08-24 |
Last Update Date | 2021-11-19 |