| NPI | 1518416346 |
|---|---|
| Other Name | MILIMAR CAMPO-JACKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-22-62107) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PR 5649) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2022-11-11 |