NPI | 1285181750 |
---|---|
Former Name | KRISTIN APRIL KOHN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-17561) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.020236) |
Enumeration Date | 2016-09-01 |
Last Update Date | 2021-08-30 |