| NPI | 1386193001 |
|---|---|
| Former Name | KRISTINA E RUTKOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW020567) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW132765) |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2019-06-14 |