NPI | 1003842741 |
---|---|
Former Name | KRISTINA MARIE KRANS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-34310) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM X-07258) |
1041C0700X Social Worker, Clinical (Licence: OH I 0800088) | |
Enumeration Date | 2006-06-24 |
Last Update Date | 2015-03-09 |