| NPI | 1770052383 |
|---|---|
| Former Name | TAIMA K ROQUE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2018-11-13 |