NPI | 1114947801 |
---|---|
Former Name | CHRISTINE KRAKORA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 7661) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 126724) |
Enumeration Date | 2006-07-19 |
Last Update Date | 2021-01-06 |