NPI | 1619476165 |
---|---|
Former Name | DANIELLE SANDICO BAGUNU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: CA F7374048) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2018-02-09 |
Last Update Date | 2018-02-09 |