| NPI | 1376888057 |
|---|---|
| Former Name | KRISTEN MOGILNICKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 007242) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 077476-1) |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2021-01-01 |