NPI | 1811132905 |
---|---|
Former Name | MARISA TINAJERO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA VN717771) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 225400000X) |
Enumeration Date | 2008-12-03 |
Last Update Date | 2021-12-29 |