NPI | 1083377782 |
---|---|
Former Name | MICHELLE MENDEZ-GALEANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL 21-184811) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2021-10-19 |
Last Update Date | 2024-05-15 |