NPI | 1205310471 |
---|---|
Former Name | KRISTEN GAUTIER-DOWNES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904012998) |
Additional Taxonomies | 251S00000X |
Enumeration Date | 2018-09-24 |
Last Update Date | 2021-07-21 |