| NPI | 1679971907 |
|---|---|
| Former Name | ERIN ELIABETH KELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2014-12-19 |
| Last Update Date | 2021-12-02 |