NPI | 1093358152 |
---|---|
Former Name | JOLYNN GREGORYK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: ND L100) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-22-58154) |
174400000X Specialist | |
Enumeration Date | 2019-10-22 |
Last Update Date | 2022-07-08 |