| NPI | 1922499029 |
|---|---|
| Former Name | JENNIFER CHITLIK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2016-08-03 |