Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst |
NPI | 1003156621 |
---|---|
Provider Name | Mrs. Emily Elizabeth Kroman |
First Address | Bainbridge Island, WA 98110-4150 |
Second Address | Bainbridge Island, WA 98110-4150 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/02/2013 |
Last Update Date | 16/10/2019 |