| NPI | 1326712175 |
|---|---|
| Former Name | KRYSTAL ERICKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: DE 1-22-59809) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-08-05 |
| Last Update Date | 2023-01-23 |