NPI | 1386952877 |
---|---|
Other Name | KRISTEN NICOLE LARSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 008567) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2010-09-17 |
Last Update Date | 2025-03-18 |