| NPI | 1831859594 |
|---|---|
| Former Name | AUTUMN RAFINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA BH005262) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: PA BH005262) |
| Enumeration Date | 2021-12-22 |
| Last Update Date | 2024-02-02 |