| NPI | 1417590670 |
|---|---|
| Other Name | SHANA CARROLL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-13-13139) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 74760) |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2023-06-26 |