| NPI | 1174825335 |
|---|---|
| Former Name | KATHERINE JENSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 987) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2010-11-22 |
| Last Update Date | 2020-04-29 |