| NPI | 1497118582 |
|---|---|
| Other Name | TAKIMA BLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC016170) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2026-03-13 |