NPI | 1649882440 |
---|---|
Former Name | JESSICA KNIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA AB61322919) |
Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral |
Enumeration Date | 2020-08-21 |
Last Update Date | 2023-01-19 |