| NPI | 1508325135 |
|---|---|
| Former Name | JENNIFER MICHELLE WOMACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-20-44609) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2023-01-30 |