NPI | 1215249339 |
---|---|
Professional Name | JENNIFER GILLIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AL 1468) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-03-1297) |
Enumeration Date | 2010-07-06 |
Last Update Date | 2010-10-18 |