NPI | 1538412689 |
---|---|
Former Name | KRISTEN CYRUL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 1-14-17043) |
Additional Taxonomies | 103K00000X Behavior Analyst |
1041C0700X Social Worker, Clinical (Licence: MI 6801089485) | |
Enumeration Date | 2012-10-25 |
Last Update Date | 2022-08-29 |