| NPI | 1073994679 |
|---|---|
| Former Name | EMILY JEAN WERWAISS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CT 465) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-13-14683) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2018-07-26 |