| NPI | 1861135980 |
|---|---|
| Former Name | ALICE JOHANNA ANGULO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-22-212611) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2022-04-16 |
| Last Update Date | 2022-05-06 |