NPI | 1003287764 |
---|---|
Former Name | KRYSTINA MCALLISTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 4192C) |
Additional Taxonomies | 104100000X Social Worker (Licence: AL 3612G) |
Enumeration Date | 2015-10-07 |
Last Update Date | 2024-09-25 |