| NPI | 1093126864 |
|---|---|
| Former Name | KRISTEN GREEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA BH001185) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA BH001185) |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2016-07-12 |