| NPI | 1093103822 |
|---|---|
| Former Name | KIMBERLY FRIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-14-17637) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 70257) |
| Enumeration Date | 2015-01-01 |
| Last Update Date | 2016-11-29 |