NPI | 1497300644 |
---|---|
Former Name | AMANDA GRACE MURRAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: TX RBT-19-96862) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2019-08-05 |
Last Update Date | 2021-07-02 |