NPI | 1477832715 |
---|---|
Former Name | KRISTEN NICOLE ABBONDANTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY10749) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NE 848) |
103K00000X Behavior Analyst (Licence: FL 1107519) | |
Enumeration Date | 2011-08-04 |
Last Update Date | 2024-06-12 |