NPI | 1295164242 |
---|---|
Former Name | KELLY ARENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180004068) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IL 180004068) |
103K00000X Behavior Analyst | |
Enumeration Date | 2013-11-09 |
Last Update Date | 2022-02-07 |