| NPI | 1376009860 |
|---|---|
| Former Name | KELLY JASINSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-18-33404) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2024-06-17 |