| NPI | 1831757467 |
|---|---|
| Former Name | LIZBETH DEL CARMEN MELGOZA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2019-05-29 |