NPI | 1285932525 |
---|---|
Former Name | JENNIFER A SONS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39002325A) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103K00000X Behavior Analyst (Licence: IN 1-14-16291) | |
Enumeration Date | 2011-03-10 |
Last Update Date | 2022-08-22 |