NPI | 1245379973 |
---|---|
Former Name | KRISTINE LYNN TAMBINI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C004355) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 711) |
Enumeration Date | 2007-02-06 |
Last Update Date | 2020-09-03 |