| NPI | 1053667352 |
|---|---|
| Former Name | KRISTAL RENEE BAISCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-14-15662) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 01-12-5088) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2024-07-21 |