NPI | 1861013377 |
---|---|
Former Name | AMANDA RUTH PETERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-20-113858) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2020-05-06 |
Last Update Date | 2020-05-06 |