| NPI | 1457004400 |
|---|---|
| Former Name | WENDY NADINE VAN DYKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2022-04-11 |