| NPI | 1689066565 |
|---|---|
| Former Name | KRISTIN ARLENE SWANSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-14-17389) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 171W00000X Contractor (Licence: IL 1-14-17389) | |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2024-03-11 |