| NPI | 1578978433 |
|---|---|
| Former Name | HOLLY JEAN WALDRON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: HI BA-83) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: HI 1-14-16051) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2023-02-23 |