NPI | 1285729483 |
---|---|
Former Name | REBECCA J HANES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: NC 2547) |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2006-10-04 |
Last Update Date | 2021-06-01 |