| NPI | 1740584887 |
|---|---|
| Former Name | JENNIFER RENEE WILDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-13-14417) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 0-10-3909) |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2018-04-12 |