| NPI | 1114339488 |
|---|---|
| Former Name | AYSHA MAE CAMPBELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-15-18610) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2019-02-12 |