NPI | 1043860521 |
---|---|
Other Name | AMANDA TIBERIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: NV RBT0864) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: NV RBT19-98036) |
Enumeration Date | 2019-09-16 |
Last Update Date | 2022-11-07 |