| NPI | 1366246340 |
|---|---|
| Former Name | CLARISSA GOWAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2025-04-01 |
| Last Update Date | 2025-06-03 |