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 | 2024-08-01 |