NPI | 1578038196 |
---|---|
Former Name | KIRSTIN MARIE VOSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: CA 46-1305562) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2018-10-10 |
Last Update Date | 2018-10-10 |