| NPI | 1205450731 |
|---|---|
| Other Name | KIRSTEN LARA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C017217) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P016145) |
| 104100000X Social Worker (Licence: OH S.1802496) | |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2025-01-03 |