| NPI | 1306143821 |
|---|---|
| Former Name | KRISTEN MICHELLE PASS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 69108) |
| 1041C0700X Social Worker, Clinical (Licence: WA 60670116) | |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2022-10-02 |