| NPI | 1508111766 |
|---|---|
| Former Name | PENNY JANE WADE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-10-7087) |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2013-12-10 |