NPI | 1578188975 |
---|---|
Former Name | ELIZABETH BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: MO 15-78188975) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: MO 20-110886) |
Enumeration Date | 2020-06-11 |
Last Update Date | 2020-11-17 |