NPI | 1467778522 |
---|---|
Former Name | KRISTI MARIE SHANOFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 11416520) |
Additional Taxonomies | 225C00000X Rehabilitation Counselor |
Enumeration Date | 2010-04-14 |
Last Update Date | 2021-03-02 |