| 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 |