| NPI | 1992914162 |
|---|---|
| Former Name | DANA BOLDT GREEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 2011) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OK LPC2011) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2014-04-11 |