NPI | 1194029876 |
---|---|
Former Name | KRYSTAL MARIE RHINES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-17-26500) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IL 152.001327) |
103K00000X Behavior Analyst (Licence: MO 023005308) | |
104100000X Social Worker (Licence: IL 150.114174) | |
Enumeration Date | 2011-01-10 |
Last Update Date | 2025-05-12 |