NPI | 1124380159 |
---|---|
Former Name | JILLIAN M WEBSTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 1-13-13308) |
Additional Taxonomies | 174400000X Specialist (Licence: NY 139770) |
Enumeration Date | 2012-06-14 |
Last Update Date | 2015-09-30 |