NPI | 1285959122 |
---|---|
Former Name | KIMBERLY ANN KLEMEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 1086) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
Enumeration Date | 2010-04-05 |
Last Update Date | 2023-03-30 |