| NPI | 1003432154 |
|---|---|
| Former Name | ANASTAZIA RAYNE ROESEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 293537) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: KY RBT-19-107702) |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2024-07-31 |