| NPI | 1295259059 |
|---|---|
| Former Name | KRISTEN ANGELA PORZEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.021903) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 31825) | |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2024-11-02 |