| NPI | 1255820387 |
|---|---|
| Former Name | KATHRYN MICHELLE THIBODEAUX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-43146) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-18-48189) |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2021-02-18 |