The holder whose full name is Boniello, David R.,come from Lafayette IN,hold the Psychologist - Health Service Provider license(NO.20040640A) which status is Active.
| Name | Boniello, David R. |
|---|---|
| License Number | 20040640A |
| License Type | Psychologist - Health Service Provider |
| License Status | Active |
| City | Lafayette |
| State | IN |