NPI | 1184105363 |
---|---|
Former Name | KIRSTEN A FRASER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 123339) |
Enumeration Date | 2018-08-24 |
Last Update Date | 2021-03-05 |