| NPI | 1487873535 |
|---|---|
| Former Name | JODI LYNN MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 0048) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KY 0108) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2014-12-04 |