NPI | 1558976225 |
---|---|
Former Name | MADISON LUNA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: HI 22-210507) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2020-09-10 |
Last Update Date | 2022-11-06 |