| NPI | 1811437999 |
|---|---|
| Former Name | JESSICA ANN MACDONALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: LA L-192) |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2019-02-25 |