| NPI | 1386978823 |
|---|---|
| Former Name | ERIN ELISABETH COUGHLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-18-33298) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.012271) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149014663) | |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2019-04-01 |