| NPI | 1083136493 |
|---|---|
| Former Name | KELLIE NORTHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 2000) |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2022-10-03 |