NPI | 1790416121 |
---|---|
Former Name | KRISTEN GRACE FARMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA 1-23-64344) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2022-06-17 |
Last Update Date | 2023-03-02 |