NPI | 1457077240 |
---|---|
Former Name | GRACE KELLY GRABSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician |
Additional Taxonomies | 156F00000X Technician/Technologist |
Enumeration Date | 2022-10-13 |
Last Update Date | 2023-11-07 |