NPI | 1134734908 |
---|---|
Former Name | SORTA GANDA ULI PANDJAITAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IN 1-23-64321) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: IN RBT-20-114416) |
Enumeration Date | 2020-09-09 |
Last Update Date | 2023-03-14 |