NPI | 1265795686 |
---|---|
Former Name | KHRYSTIAN M PORTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 101Y00000X Counselor |
104100000X Social Worker | |
Enumeration Date | 2012-06-20 |
Last Update Date | 2012-06-20 |