| NPI | 1518515725 |
|---|---|
| Former Name | THAILER DAWN WHITLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2021-03-22 |