NPI | 1811394281 |
---|---|
Former Name | SPENSER JARRET |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-17-28464) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
Enumeration Date | 2014-12-01 |
Last Update Date | 2018-01-31 |