NPI | 1437630944 |
---|---|
Former Name | MARIAH ANN PAZYCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: MO RBT-18-57306) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2018-08-23 |
Last Update Date | 2022-02-03 |