NPI | 1275866071 |
---|---|
Other Name | KELLIE NICOLE CRITES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801092195) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2009-09-10 |
Last Update Date | 2022-01-12 |