| NPI | 1114686524 |
|---|---|
| Other Name | SOPHIE JACKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 1-24-73979) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-12-13 |
| Last Update Date | 2024-07-24 |