| NPI | 1194182923 |
|---|---|
| Former Name | KRISTIN BONIFACE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06336500) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2024-06-28 |