| NPI | 1275982712 |
|---|---|
| Former Name | JESSICA LEAH SYMONS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301016655) |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2018-04-26 |