NPI | 1437853025 |
---|---|
Former Name | KAREN L KELLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC015427) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH005172) |
Enumeration Date | 2023-03-28 |
Last Update Date | 2024-11-21 |