| NPI | 1821539115 |
|---|---|
| Former Name | SAMANTHA JEAN HACKMANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL 17-35394) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2019-02-12 |