NPI | 1356601363 |
---|---|
Former Name | LORI EDDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 01-09-6434) |
Additional Taxonomies | 101YS0200X Counselor, School |
103K00000X Behavior Analyst | |
103K00000X Behavior Analyst (Licence: MI 7401000896) | |
103TC1900X Psychologist, Counseling | |
103TS0200X Psychologist, School | |
Enumeration Date | 2012-05-23 |
Last Update Date | 2022-07-15 |