| NPI | 1730760315 |
|---|---|
| Former Name | ALLISON LYNN JACKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX XXXXXXXX) |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2023-03-15 |