| NPI | 1407341845 |
|---|---|
| Former Name | ROXANA ACEVEDO PONCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2019-09-03 |