| NPI | 1316415078 |
|---|---|
| Former Name | KRISTIN ANN MARRS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: IL 150.102699) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.023173) |
| Enumeration Date | 2018-11-10 |
| Last Update Date | 2024-10-31 |