NPI | 1215544531 |
---|---|
Former Name | KRISTIN MARIE DORNFELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MN LBA0408) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2020-09-30 |
Last Update Date | 2025-02-05 |