NPI | 1851876940 |
---|---|
Former Name | CRISSY STARR RYUN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 1811089014) |
Enumeration Date | 2018-09-25 |
Last Update Date | 2022-08-15 |