| NPI | 1245775311 |
|---|---|
| Former Name | KIRSTEN ALEXI WOOLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-20-42991) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2020-07-08 |