NPI | 1538668355 |
---|---|
Former Name | KELSI MCCLAFLIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 2422) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2018-02-07 |
Last Update Date | 2022-06-13 |