NPI | 1326369059 |
---|---|
Former Name | JOAN WEBSTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 7771) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103K00000X Behavior Analyst (Licence: MA 3134) | |
Enumeration Date | 2010-06-16 |
Last Update Date | 2023-01-03 |