NPI | 1134805443 |
---|---|
Former Name | KRISTIN SCHELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 8495-123) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 00992696) |
Enumeration Date | 2023-06-22 |
Last Update Date | 2023-06-22 |