| NPI | 1467876029 |
|---|---|
| Former Name | NICOLE KINNEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802087913) |
| 247200000X Technician, Other | |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2020-01-08 |