NPI | 1629725734 |
---|---|
Former Name | KRISTEN BRIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: IN 29002190A) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2022-03-08 |
Last Update Date | 2025-01-09 |