NPI | 1982147559 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: WA RoGERKG071LQ) |
Additional Taxonomies | 247200000X Technician, Other (Licence: WA ROGERKG071LQ) |
Enumeration Date | 2016-11-29 |
Last Update Date | 2016-11-30 |