| NPI | 1174034110 |
|---|---|
| Former Name | JESSICA PEMBERTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2024-08-05 |