NPI | 1356874291 |
---|---|
Former Name | AERIKA HAESELI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IA 1-17-25080) |
Additional Taxonomies | 103T00000X Psychologist (Licence: IA 095956) |
Enumeration Date | 2017-04-07 |
Last Update Date | 2021-05-21 |