NPI | 1922514991 |
---|---|
Former Name | JENNIFER QUINN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 1-17-28309) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 1-17-28309) |
Enumeration Date | 2017-12-28 |
Last Update Date | 2023-11-20 |