| NPI | 1609427079 |
|---|---|
| Former Name | PAXTON SUDBECK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 123362) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2024-03-28 |