NPI | 1518238930 |
---|---|
Former Name | DEBORAH LYNN KIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12957) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH-4494) |
103K00000X Behavior Analyst (Licence: FL 1-04-1748) | |
Enumeration Date | 2012-01-17 |
Last Update Date | 2018-12-06 |