| NPI | 1780061630 |
|---|---|
| Former Name | DIAMOND CLYBURN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2020-02-06 |