| NPI | 1083889224 |
|---|---|
| Former Name | HEATHER RENEE MUMMAW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-05-2367) |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2022-06-28 |