| NPI | 1508898578 |
|---|---|
| Former Name | NIKOL LEIGH JACKSON-ELLISON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA SW013684L) |
| 104100000X Social Worker (Licence: PA SW-013684L) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2009-05-07 |