NPI | 1891452421 |
---|---|
Former Name | JESSICA JOLENE WRIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician |
Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI5308) |
Enumeration Date | 2021-11-18 |
Last Update Date | 2022-09-12 |