| NPI | 1528459930 |
|---|---|
| Former Name | KASEY ELLEN SIEMSSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-15-21059) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TN 816) |
| Enumeration Date | 2015-02-08 |
| Last Update Date | 2022-02-23 |