NPI | 1790076339 |
---|---|
Former Name | MARLA JANAE YOUNG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 59852) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-09-5513) |
Enumeration Date | 2011-05-01 |
Last Update Date | 2011-05-01 |