| NPI | 1083809198 |
|---|---|
| Former Name | JENNIFER ANN PETERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-10-7695) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2024-11-11 |