NPI | 1821376781 |
---|---|
Former Name | ARMIDA RODRIGUEZ GOMEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: CA RBT-17-37662) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2011-07-26 |
Last Update Date | 2021-03-25 |