NPI | 1124473574 |
---|---|
Other Name | KELSEY LAURSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 1-16-22626) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MI 7401000665) |
247200000X Technician, Other | |
Enumeration Date | 2016-05-03 |
Last Update Date | 2024-05-13 |