NPI | 1831323112 |
---|---|
Former Name | REBECCA ILENE SCHADEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: PA PC005253) |
Additional Taxonomies | 103K00000X Behavior Analyst |
101YM0800X Counselor Mental Health | |
Enumeration Date | 2009-05-14 |
Last Update Date | 2013-03-08 |