| NPI | 1265868426 |
|---|---|
| Former Name | HEATHER LEE DEFOGGI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2013-09-19 |