| NPI | 1306116595 |
|---|---|
| Former Name | REBECCA LYNN CORSAIR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 1-14-17408) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 11607) |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2025-10-02 |