| NPI | 1447668454 |
|---|---|
| Former Name | STEPHANIE LISA GEOGHEGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2024-06-21 |