NPI | 1801402078 |
---|---|
Former Name | TIA MARIE THOMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: NV RBT1462) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: NV RBT-20-144192) |
106S00000X Behavior Technician | |
Enumeration Date | 2020-09-22 |
Last Update Date | 2022-10-13 |