| NPI | 1487015970 |
|---|---|
| Former Name | GABRIELA MANZANO VIZCARRA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-20-44470) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2020-12-21 |