NPI | 1609325109 |
---|---|
Former Name | KAROLINA HENRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC008941) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH003132) |
Enumeration Date | 2016-09-25 |
Last Update Date | 2021-09-26 |