| NPI | 1396012746 |
|---|---|
| Former Name | WILMARIS FERNANDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 1001) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CT 1004) |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2021-08-04 |