NPI | 1982021010 |
---|---|
Former Name | JUSTINA VARGHESE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401000774) |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2014-03-26 |
Last Update Date | 2023-04-26 |