| NPI | 1063821999 |
|---|---|
| Former Name | REBECCA HAGEMEISTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2025-06-20 |