NPI | 1740735240 |
---|---|
Former Name | ERIN MARGARET KILLIANY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717001363) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 106H00000X) |
Enumeration Date | 2016-08-25 |
Last Update Date | 2022-07-25 |