| NPI | 1962995159 |
|---|---|
| Former Name | AMANDA LYNN DAHL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 156F00000X Technician/Technologist |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2020-10-13 |