| NPI | 1952017923 |
|---|---|
| Former Name | HEATHER ERIN KENNEDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA BH005945) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2023-01-24 |