NPI | 1255712931 |
---|---|
Former Name | TAYLOR LEIGH WINDGASSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: TN RBT-21-164302) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
Enumeration Date | 2015-06-18 |
Last Update Date | 2021-04-28 |