| NPI | 1528510328 |
|---|---|
| Former Name | DYLAN SKYE POLASKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401000113) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MI 1-16-23881) |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2022-08-18 |