NPI | 1477264505 |
---|---|
Former Name | ASHLEY WILLIAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: MT RBT-22-245854) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2022-12-09 |
Last Update Date | 2023-08-11 |