| NPI | 1013565951 |
|---|---|
| Former Name | KATHRINE MCMICKLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1013565951) |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2019-11-12 |