NPI | 1437725785 |
---|---|
Professional Name | CARMEN DIAZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL 20-127573) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 109656300) |
Enumeration Date | 2021-05-27 |
Last Update Date | 2021-05-27 |