| NPI | 1447963707 |
|---|---|
| Other Name | MATELYN VANDYKEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 247200000X Technician, Other |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2023-01-03 |
| Last Update Date | 2023-10-26 |