NPI | 1336646025 |
---|---|
Former Name | ALLISON LEE KROM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 11729114) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: HI BA264) |
Enumeration Date | 2018-04-09 |
Last Update Date | 2023-01-05 |