| NPI | 1013189240 |
|---|---|
| Former Name | KRISTIN E FUNK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34005996A) |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker | |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2014-02-12 |