| NPI | 1639618200 |
|---|---|
| Former Name | KRISTY DIMACULANGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2023-10-03 |