NPI | 1922503879 |
---|---|
Former Name | TAYLOR KOLLO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-19-39121) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2018-03-23 |
Last Update Date | 2022-11-12 |